I'll bear Dr Crippen and Garth's comments in mind the next time I attend a GPs referral at surgery and find the pt sat in the waiting room, no aspirin, no GTN, no pain relief, no cannula, no 02, no ECG and a scrawled letter and then have to spend more time that I'd like doing all the above in their car park, transmit the ECG to the CCU and then have to thrombolyse the PT too. Self righteous prigs (yup, prigs, I wanted to put something else though).